CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Fisher-Titus Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $27
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Fisher-Titus Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.78x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $45 (463%)
Insurance Median: $27 (278%)
Cash: $45 (463% of Medicare)
Ins. Median: $27 (278% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 278% of the Medicare baseline (a markup of 178%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerihealth $7 72%
Blue Cross Blue Shield $7 - $62 72%
Buckeye $7 - $10 72%
Caresource $7 - $10 72%
Humana $7 - $10 72%
Molina $7 72%
UnitedHealthcare $7 - $62 72%
Coresource $8 82%
First Health $8 - $61 82%
Aetna $9 - $59 93%
Martin'S Point $9 93%
Cigna $10 - $54 103%
Frontpath $10 103%
Medical Mutual Of Ohio $10 - $40 103%
Paramount $10 - $61 103%
Perennial Advantage $10 103%
Sidecar $10 - $47 103%
Summacare $10 - $60 103%
Valor Health $10 103%
Wellcare $10 103%
Zing Health $10 103%
Health Ohio Network $22 - $48 227%
Tricare $23 - $54 237%
Claimsdoc $25 - $54 257%
Healthscope $28 - $62 288%
Multiplan $28 - $61 288%
Ohio Health Choice $28 - $61 288%
Emerald Health $30 - $66 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals